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Viibgv PwmH N? 1357 <br />y'iA. JT7t £hju)Contractor — <br />rw^ CoS'^c/^n <br />Addresi. <br />; ^ rJh- ///. <br />Addresa./j ^tr ^tJ <br />Sbite License No„V'illage License No_ <br />GENERAL PERMIT <br />VILLAOE OF OBOnO <br />Crystal Bay, Minnesota <br />Date.///v' ///-A <br />T <br />Section No. <br />Fkicd No.. <br />Pht No— <br />Block-Sobdivtsioiu <br />Other Pcaciiption! <br /># <br />1 hereby agree that in ease a permit is granted, all work which slull be done and all materials which shall he used, shall <br />comply with the N’illagc Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />\ '■ fa m <br />Irutall plumbing systems:Feel-Sigiuturc of applicant <br />Install sewage disposal systems: Fee $_ <br />Ri^nir <br />Install water supply systems: Fee $_ <br />Fee %. <br />Total amount paid to N'illagc............%-AtXo <br />Signature of N’illagc O^cial